Swiss medical weekly
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Swiss medical weekly · Aug 1983
[Treatment of cardiogenic shock in acute myocardial infarction and postoperative low cardiac output].
The extent of myocardial and coronary lesions, the failure of the mechanisms regulating coronary blood flow, and the inadequacy of adrenergic stimulation account for the difficulties in managing cardiogenic shock as a complication of acute myocardial infarction. Except in cases of hypovolemia, excessive bradycardia, the only adequate treatment is IABP. However, long-term survival is observed only in patients undergoing surgery for a mechanical complication after control of the cardiogenic shock. Finally, the causes of the post-CPB low output syndrome and the principles of their management are discussed.
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Swiss medical weekly · Aug 1983
Comparative Study[Are beta-sympathomimetic substances in resuscitation useful? Experimental studies].
Orciprenaline and epinephrine have been compared in cardiopulmonary resuscitation (CPR) in the dog. In a third group no substance was given. When orciprenaline was repeated without success, epinephrine was given. ⋯ In the epinephrine group defibrillation led directly to adequate circulation, whereas in the orciprenaline group subsequent electromechanical dissociation was observed. It is concluded that beta-receptor stimulators have no place in CPR. Epinephrine is the drug of choice in resuscitation after cardiac arrest.